How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $177.83 | Facility | None | $104.71 | $104.71 | $177.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $91.20 Typical High $131.83 | Professional | None (both parts) | $87.10 | $91.20 | $131.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $34.67 Typical High $46.77 | Professional | 26 · Professional part | $30.20 | $34.67 | $46.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $56.23 Typical High $87.10 | Professional | TC · Technical part | $56.23 | $56.23 | $87.10 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $123.03 Median $128.82 Typical High $128.82 | Professional | None (both parts) | $123.03 | $128.82 | $128.82 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | 26 · Professional part | $47.86 | $47.86 | $47.86 |
BCBS Arizona Setting Facility Modifier None Typical Low $25.70 Median $112.20 Typical High $165.96 | Facility | None | $25.70 | $112.20 | $165.96 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $74.13 Median $74.13 Typical High $141.25 | Professional | None (both parts) | $74.13 | $74.13 | $141.25 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $25.70 Typical High $48.98 | Professional | 26 · Professional part | $25.70 | $25.70 | $48.98 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $48.98 Typical High $91.20 | Professional | TC · Technical part | $48.98 | $48.98 | $91.20 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $229.09 Typical High $331.13 | Facility | None | $181.97 | $229.09 | $331.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $93.33 Typical High $151.36 | Professional | None (both parts) | $74.13 | $93.33 | $151.36 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $31.62 Typical High $57.54 | Professional | 26 · Professional part | $28.18 | $31.62 | $57.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $60.26 Typical High $97.72 | Professional | TC · Technical part | $46.77 | $60.26 | $97.72 |
Medica Setting Facility Modifier None Typical Low $91.20 Median $100.00 Typical High $186.21 | Facility | None | $91.20 | $100.00 | $186.21 |
Medica Setting Professional Modifier None (both parts) Typical Low $91.20 Median $575.44 Typical High $575.44 | Professional | None (both parts) | $91.20 | $575.44 | $575.44 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $213.80 Typical High $213.80 | Professional | 26 · Professional part | $34.67 | $213.80 | $213.80 |
Medica Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $371.54 Typical High $371.54 | Professional | TC · Technical part | $56.23 | $371.54 | $371.54 |
United Setting Professional Modifier None (both parts) Typical Low $89.13 Median $95.50 Typical High $138.04 | Professional | None (both parts) | $89.13 | $95.50 | $138.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $35.48 Typical High $54.95 | Professional | 26 · Professional part | $33.11 | $35.48 | $54.95 |
United Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $58.88 Typical High $91.20 | Professional | TC · Technical part | $56.23 | $58.88 | $91.20 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | FX · Film X-ray | $72.44 | $72.44 | $72.44 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $70.79 Median $87.10 Typical High $87.10 | Professional | 59 · Distinct service | $70.79 | $87.10 | $87.10 |
Where Arizona sits
The same service costs 3.7 times more in Alaska than in Texas. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Arizona· 37th of 51
$97.72
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.